Patient has persistent wheezing despite treatment with bronchodilators, meaning that asthma is unlikely
3 causes of chronic stridor/wheezing in a newborn/infant include laryngomalacia (inspiratory stridor/wheezing that worsens when feeding, crying or supine and improves when prone), vascular ring (biphasic stridor/wheezing that improves with neck extension) and airway hemangioma (worsening biphasic stridor over first year of life in patient with concurrent skin hemangioma)
Patients with proetin-induced allergic proctocolitis secondary to milk consumption often have bloody stools in setting of other allergic conditions (allergies, eczema or asthma)
Vascular ring presents in infancy with biphasic stridor/wheezing that improves with neck extension. None of the other answer choices would persist for 5 months and still result in a happy, well-nourished baby.
tinylilronI did not choose this one because I thought a vascular ring compressing the airway would result in stridor... :-/+
tinylilronI did not choose this one because I thought a vascular ring compressing the airway would result in stridor... :-/ Also, is the baby not demonstrating esophageal symptoms because he is only fed formula at this time?+
submitted by โstep_prep7(71)
- Patient has persistent wheezing despite treatment with bronchodilators, meaning that asthma is unlikely
- 3 causes of chronic stridor/wheezing in a newborn/infant include laryngomalacia (inspiratory stridor/wheezing that worsens when feeding, crying or supine and improves when prone), vascular ring (biphasic stridor/wheezing that improves with neck extension) and airway hemangioma (worsening biphasic stridor over first year of life in patient with concurrent skin hemangioma)
- Patients with proetin-induced allergic proctocolitis secondary to milk consumption often have bloody stools in setting of other allergic conditions (allergies, eczema or asthma)
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